EMMANUEL UNITED METHODIST CHURCH WILMA & LESTER ...
EMMANUEL UNITED METHODIST CHURCH WILMA & LESTER GREEN MEMORIAL SCHOLARSHIP PO Box 534, 1300 N. Vine Street Abilene, Kansas 67410 Telephone 785-263-3342 SCHOLARSHIP APPLICATION FORM Application deadline: April 15, 2013 Following are the criteria for the EUMC Wilma & Lester Green Memorial Scholarship: • Applicants must reside in Dickinson County, Kansas, with a preference for youth active in a Dickinson County church and/or newspaper carriers from The Abilene Reflector Chronicle. • Applicants must attend one of the following schools: • Kansas Wesleyan University, Salina, Kansas • McPherson College, McPherson, Kansas • Southwestern College, Winfield, Kansas • Baker University, Baldwin City, Kansas • Bethany College, Lindsborg, Kansas • Sterling College, Sterling, Kansas • Any vocational or community college with a location in Kansas • Scholarship recipients must maintain a cumulative grade point average of 3.0 on a 4.0 scale and be a full time student as determined by the institution of higher education. • Scholarship recipients can apply in successive years for the scholarship, assuming that they meet all other criteria. • Applicants must show a financial need for the scholarship. • The awards for the 2013-2014 school year will be up to $1,800.00 which will be sent to the college attended. Checklist for a Complete Application • • • •
Complete and submit the three (3) page application form and autobiographical sketch which follows this page of instructions Submit a transcript of your high school or post high school work Have the (3) three persons return the recommendation forms to Emmanuel United Methodist Church by April 15 Attach a recent picture of yourself
Return to: Emmanuel United Methodist Church PO Box 534 1300 North Vine Street Abilene, Kansas 67410
EMMANUEL UNITED METHODIST CHURCH WILMA & LESTER GREEN MEMORIAL SCHOLARSHIP GENERAL INFORMATION Date_______________________ Cumulative Grade Point Average___________ ACT Composite____________ Name___________________________________ Birthdate_____________________________ Current Address___________________________ Phone _______________________________ Year of high school graduation and high school attended _______________________________ Father’s Name________________ Employment __________________________ Mother’s Name_________________Employment __________________________ Are you married? Yes ____ No ____ If so, Spouse’s name______________________________ Number of Brothers_______ Ages___________ Number of Sisters ________Ages____________ Number of siblings currently enrolled in post high school education _______________________ College you plan to attend_____________________________ Semester_______ Year 20______ Hours you intend to take________
AGREEMENT APPLICANT: PLEASE READ CAREFULLY AND SIGN I understand if I am selected for an award: The money will be sent to the school I have designated at the beginning of each Semester. If I should drop out of college at any time during the first semester, I agree to repay the Scholarship Fund the full amount I have received.
___________________________________ Signature
REFERENCES Contact at least three people who can testify as to your eligibility for an award based on need, scholastic ability and character. High school teachers or principal, businessmen or former employers are useful contacts. DO NOT USE RELATIVES. Contact these persons and get permission to use their names. Give each of them a recommendation form and a stamped envelope addressed to: Emmanuel United Methodist Church
PO Box 534
Abilene, Kansas 67410 Name
Position
Address
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
AUTOBIOGRAPHICAL SKETCH
Name of Applicant____________________________________
Provide a brief paragraph giving your personal testimony. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Provide a paragraph concerning your participation in your church. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Write a paragraph or paragraphs telling why you are making application for this scholarship and what you hope to do with your college education. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
FINANCIAL Name of Applicant___________________ What full or part-time employment have you had during high school? ______________________________________________________________________________ Have you worked for The Abilene Reflector Chronicle? _________________________________ In what capacity? _______________________________________________________________ Do you plan to work part-time while attending college? ________________________________ Have you or do you intend to apply for other scholarships? ______________________________ If yes, which ones? ______________________________________________________________ Describe below any pertinent information concerning the financial assets and obligations of your family that would be helpful in assessing your financial needs.____________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ From the Free Application for Federal Student Aid (FAFSA) please list your Expected Family Contribution (EFC) _________________________________.
RECOMMENDATION FOR EUMC WILMA & LESTER GREEN MEMORIAL SCHOLARSHIP Concerning_______________________________ Address______________________________
The above named has applied for the EUMC Wilma & Lester Green Memorial Scholarship. Would you rank the student on each of the following characteristics by placing a check mark somewhere on the horizontal line opposite each of the eight characteristics? Remember to compare this student to the average student. This form will be kept in strict confidence and will only be shown to the selection committee. 1. MOTIVATION Not Motivated__________Usually Motivated__________ Highly Motivated__________ 2. INITIATIVE Needs Constant Pressure________ Does What Is Asked_______ Seeks Additional Work_______ 3. INFLUENCE & LEADERSHIP Negative_______ Cooperative_______ Judgment_______ Respected_______
4. CONCERN for OTHERS Indifferent_______ Somewhat_______ Actively concerned_______ 5. RESPONSIBILITY Unreliable_______ Usually Dependable_______ Assumes Responsibility_______ 6. INTEGRITY Questionable_______Generally Honest_______ Always Does What They Say_______
7. PERSONAL APPEARANCE Not Concerned_______ Usually Looks Nice_______ Always Concerned_______ 8. CITIZENSHIP Not A Good Citizen_______ Usually_______ Always A Good Citizen_______ 9. Your estimate of applicant’s future success, based on the purpose of this application. Little Success_________Average_________Above Average_________Superior_________ 10. FINANCIAL NEED Must Have Help ________Could Use Help _____No Help Needed________ 11. Any additional comments you might want to make regarding the applicant’s financial need and/or suitability to receive an award.___________________________________________________ 12. In what capacity were you associated with this person?___________________________________ Signature__________________________ Position _____________________________________ Address___________________________ Date _______________________________________
Complete and submit the three (3) page application form and autobiographical sketch which follows this page of instructions Submit a transcript of your high school or post high school work Have the (3) three persons return the recommendation forms to Emmanuel United Methodist Church by April 15 Attach a recent picture of yourself
Return to: Emmanuel United Methodist Church PO Box 534 1300 North Vine Street Abilene, Kansas 67410
EMMANUEL UNITED METHODIST CHURCH WILMA & LESTER GREEN MEMORIAL SCHOLARSHIP GENERAL INFORMATION Date_______________________ Cumulative Grade Point Average___________ ACT Composite____________ Name___________________________________ Birthdate_____________________________ Current Address___________________________ Phone _______________________________ Year of high school graduation and high school attended _______________________________ Father’s Name________________ Employment __________________________ Mother’s Name_________________Employment __________________________ Are you married? Yes ____ No ____ If so, Spouse’s name______________________________ Number of Brothers_______ Ages___________ Number of Sisters ________Ages____________ Number of siblings currently enrolled in post high school education _______________________ College you plan to attend_____________________________ Semester_______ Year 20______ Hours you intend to take________
AGREEMENT APPLICANT: PLEASE READ CAREFULLY AND SIGN I understand if I am selected for an award: The money will be sent to the school I have designated at the beginning of each Semester. If I should drop out of college at any time during the first semester, I agree to repay the Scholarship Fund the full amount I have received.
___________________________________ Signature
REFERENCES Contact at least three people who can testify as to your eligibility for an award based on need, scholastic ability and character. High school teachers or principal, businessmen or former employers are useful contacts. DO NOT USE RELATIVES. Contact these persons and get permission to use their names. Give each of them a recommendation form and a stamped envelope addressed to: Emmanuel United Methodist Church
PO Box 534
Abilene, Kansas 67410 Name
Position
Address
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
AUTOBIOGRAPHICAL SKETCH
Name of Applicant____________________________________
Provide a brief paragraph giving your personal testimony. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Provide a paragraph concerning your participation in your church. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Write a paragraph or paragraphs telling why you are making application for this scholarship and what you hope to do with your college education. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
FINANCIAL Name of Applicant___________________ What full or part-time employment have you had during high school? ______________________________________________________________________________ Have you worked for The Abilene Reflector Chronicle? _________________________________ In what capacity? _______________________________________________________________ Do you plan to work part-time while attending college? ________________________________ Have you or do you intend to apply for other scholarships? ______________________________ If yes, which ones? ______________________________________________________________ Describe below any pertinent information concerning the financial assets and obligations of your family that would be helpful in assessing your financial needs.____________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ From the Free Application for Federal Student Aid (FAFSA) please list your Expected Family Contribution (EFC) _________________________________.
RECOMMENDATION FOR EUMC WILMA & LESTER GREEN MEMORIAL SCHOLARSHIP Concerning_______________________________ Address______________________________
The above named has applied for the EUMC Wilma & Lester Green Memorial Scholarship. Would you rank the student on each of the following characteristics by placing a check mark somewhere on the horizontal line opposite each of the eight characteristics? Remember to compare this student to the average student. This form will be kept in strict confidence and will only be shown to the selection committee. 1. MOTIVATION Not Motivated__________Usually Motivated__________ Highly Motivated__________ 2. INITIATIVE Needs Constant Pressure________ Does What Is Asked_______ Seeks Additional Work_______ 3. INFLUENCE & LEADERSHIP Negative_______ Cooperative_______ Judgment_______ Respected_______
4. CONCERN for OTHERS Indifferent_______ Somewhat_______ Actively concerned_______ 5. RESPONSIBILITY Unreliable_______ Usually Dependable_______ Assumes Responsibility_______ 6. INTEGRITY Questionable_______Generally Honest_______ Always Does What They Say_______
7. PERSONAL APPEARANCE Not Concerned_______ Usually Looks Nice_______ Always Concerned_______ 8. CITIZENSHIP Not A Good Citizen_______ Usually_______ Always A Good Citizen_______ 9. Your estimate of applicant’s future success, based on the purpose of this application. Little Success_________Average_________Above Average_________Superior_________ 10. FINANCIAL NEED Must Have Help ________Could Use Help _____No Help Needed________ 11. Any additional comments you might want to make regarding the applicant’s financial need and/or suitability to receive an award.___________________________________________________ 12. In what capacity were you associated with this person?___________________________________ Signature__________________________ Position _____________________________________ Address___________________________ Date _______________________________________
